Category: Eyes Care

Treatment of Punctate Inner Choroidopathy Through Ayurveda


Punctate inner choroidopathy is a very rarely diagnosed condition. It is basically an inflammatory condition of the eye which generally affects the myopic women. The condition is characterized by presence of multiple, small and well defined yellow white fundus lesions and usually intraocular inflammation is not associated. Punctate inner choroidopathy is often called PIC and is one of the so-called white dot syndromes. Punctate inner choroidopathy is only recognized as a distinct condition as recently as 1984. In this article we will mainly discuss Punctate inner choroidopathy along with its causes and how it can be managed using Ayurvedic formulations.


Punctate inner choroidopathy is a specific form of posterior uveitis and most commonly affects myopic women. It is characterized by multifocal, well circumscribed yellow white choroidal lesions present at the posterior pole of retina. These lesions are present without anterior or vitreous inflammation. Sometimes subfoveal lesions can result in symptoms like blurred vision, scotoma, metamorphosis and photopsia. Due to punctate inner choroidopathy does not usually cause severe visual loss. But if there is development of choroidal neovascularization and it develops in around 70% of patients with PIC. In treatment generally oral corticosteroids are generally recommended along with several therapies.

Punctate inner choroidopathy

Causes of Punctate inner choroidopathy

  • There is some evidence that suggests that PIC is an Autoimmune condition which means the immune system starts attacking its own healthy cells.
  • Later due to significant inflammation, sometimes some new blood vessels also grow in through the inflamed spots thus may leak and cause central vision loss.

Signs and Symptoms of Punctate inner choroidopathy

As mentioned above the condition is quite common in myopic women (females who are short sighted). On an average the women with age between 27-30 years are at a risk of developing PIC. Patients are usually healthy, but still the autoimmune changes are triggered and precede.

The most common symptoms observed areas as follows

  • The inflammation is confined to the back of the eye or can be understood as the posterior part of the eye.
  • Generally both eyes are affected.
  • There is no inflammation in the anterior chamber or vitreous which is the clear jelly inside the eye. This is the most distinguishing feature of PIC.
  • Both of the eyes are affected.
  • There is the appearance of gray white or yellow punctuated or punched out areas. These areas can also be understood as the areas of lesion. These are present at the level of the inner choroid. These lesions are typically located centrally at the back of the eye which is called the posterior pole.

Symptoms of PIC

Symptoms include blurring of vision along with partial blind spots. These partial blind spots are called scotoma. These are basically the diminished or lost areas of the visual field and are typically near the centre of vision. But occasionally they can also be peripheral. These may be temporary or permanent. Even patients also complain about seeing flashing lights. The PIC lesions, which are responsible for scar formation, can be of  deep nature present  in the choroid layer of the eye. This  may result in new blood vessels forming. These can arise as the body’s attempts at repair, but these new blood vessels (neovascularization). If the neovascularization is observed then it is basically a sign that the situation has become difficult and the patient has landed in complications.

Diagnosis of PIC

The diagnosis of this condition is difficult and may appear similar to other conditions like posterior uveitis and other forms of so-called white dot syndromes. Mostly the tests which are performed in this condition includes:

  • Visual field testing
  • Fluorescein angiography, in which intravenous dye is used to show the blood vessels at the back of the eye. 

Treatment of PIC

Treatment firstly includes observation. Observation is very appropriate for the lesions, when they are found in the mom sight threatening areas which means they are not present centrally. But in case the patient lands in complications like CNV (choroidal neovascularization). Then the following treatment is generally guided:

  • Corticosteroids which can be  systemic or intraocular.
  • Secondly Immunosuppressants are recommended as there is evidence that combined therapies of steroids and second line immunosuppressants may be helpful.
  • Surgical excision can also be done of the affected area in well selected cases.
  • Intravitreal anti-VEGF agents. For Examples Bevacizumb (avastin) and ranibizumab. These relatively new drugs which are injected into the eye.
  • Photodynamic therapy (PDT) which is a  photosensitive drug and is ‘activated’ by strong light. Generally it is advised to give combined therapy of PDT and anti VEGF.
  • Laser photocoagulation: This is occasionally used unless the CNV is subfoveal (affecting the central or macular part of the vision). The laser treatment can damage the vision.

Herbal Formulations for Punctate Inner Choroidopathy by Planet Ayurveda

Planet Ayurveda is a leading Ayurvedic firm which deals with the manufacturing of herbal formulations. These formulations are prepared using potent herbs who are really effective in managing many conditions related to eyes. The formulations prepared by Planet Ayurveda do not contain any kind of adulterants, dyes, additives, fillers etc. These medications are really potent to manage various conditions related to eyes especially and are very fruitful hence giving positive noticeable results. The medication or formulations offered by Planet Ayurveda for the management of Punctate inner choroidopathy is as follows

  1. Angel Eye Vitale
  2. Kaishore Guggul
  3. Bilberry Capsules
  4. Triphala Ghrit
  5. Saptamrit loha
  6. Curcumin Capsules


1. Angel Eye Vitale

Angel eye vitale capsules have ingredients like pure extract of vitamin C, vitamin E, zinc, marigold, corn, carrot seed and bilberry. The formulation is very effective in various eye related disorders and also helps in enhancement of eye sight. In case of any irritation due to PIC the formulation can be given and is very effective in managing such conditions.

Dosage: One capsule twice a day after meals with lukewarm water.

2. Kaishore Guggul

Kaishore guggul has many ingredients like amalaki (Emblica officinalis), haritaki (Terminalia chebula), Guduchi (Tinospora cordifolia), Ginger (Zingiber officinale), black pepper (Piper nigrum) and many others. It is a classical preparation which is being used to remove toxins from the body and also supports healthy blood circulation. The formulation tends to show a rejuvenating effect on the body. This formulation is very popular for its fantastic effects.

Dosage: Two tablets twice a day after meals with lukewarm water.

3. Bilberry Capsules

Bilberry which is also called Vaccinium myrtillus.. This is a single herb formulation and is one of the best medications which is used in the treatment of eye disorders. These capsules are made from pure extract of bilberry.  It has antioxidant properties and is successfully used in treatment of disorders related to retina, cataracts, nearsightedness and glaucoma. Bilberry is also used to enhance night vision.

Dosage: One capsule twice a day after a meal with plain water.

4. Triphala Ghrit

The formulation is prepared using Amalaki (Emblica officinale), Bibhitaki (Terminalia bellirica), Haritaki (Terminalia chebula), madhuka (Glycyrrhiza glabra), Katukarohini (Picrorhiza kurroa), etc. This formulation relieves itching, discharge, strain or pains of eyes. This ayurvedic formulation is tridoshghan and is loaded with rasaynik properties of triphala for eyes. It helps in preventing onset of neovascularization.

Dosage: One tsp with warm water twice a day

5. Saptamrit loha

The saptamrit loha is also having Triphala as its main content along with Iron calx (Bhasma) and Licorice which boosts immunity by increasing the blood cells. This makes it an efficient anti pathogenic formulation and improves systemic wellbeing. It helps in enhancing the immunity and protects eyes against the damage.

Dosage: One  tablet twice a day with plain water after meals

6. Curcumin Capsules

Curcumin capsules contain standardized extract of Curcumin longa which is having anti bacterial, anti inflammatory and analgesic properties. It helps in  reducing the inflammation present in the PIC and also enhances overall immunity of the body.

Dosage: One capsule twice a day after meals.

Contact Planet Ayurveda Support Team to provide you the costing/ordering and delivery information at – or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 842-749-4030.


In Ayurveda the chikitsa of each and every disorder or disease is possible whether it is systematic or pathological.  All we need to do is gather knowledge and have belief. A proper understanding of condition and body according to Ayurveda can help you in understanding the situation really well and can do miracles in managing a condition. After a deep understanding choosing Ayurvedic herbs wisely helps in treating disorders really well. Above mentioned products by Planet Ayurveda are totally herbal and organic. In addition they do not cause any kind of side effects.

What is scleritis? Causes, Symptoms & Treatment with Ayurveda


Witnessing the creation of this beautiful world is only possible with a healthy pair of eyes. Eyes are the sense organ through which we see the environment. Some of the constituents of the eye are cornea, sclera pupil, etc. All these components should be in a normal state for the eyes to function properly. There can be several disorders that can affect the eyes negatively and can cause vision difficulties. Scleritis is one such abnormality. What is scleritis? What is its ayurvedic perspective? The answers are detailed in this following article.



As mentioned earlier, the eye contains various parts such as the cornea, iris, pupil, sclera, etc. The white part of the eye is known as sclera and it plays a vital role in normal functioning of the eye. Most importantly, it protects and maintains the eye ball shape. The inflammation of the sclera of the eye is known as Scleritis. The characteristic feature of scleritis presents is the pain and redness of the eye with or without vision loss. Depending on the region affected, Scleritis is classified into two types named as- Anterior Scleritis and Posterior Scleritis, described as follows-

  1. Anterior Scleritis –In this type of scleritis, inflammation occurs in the anterior portion of sclera. Further, it can be subdivided into necrotizing, diffuse, and nodular. The most severe one is the necrotizing form as it causes extreme pain and severe tenderness.
  2. Posterior Scleritis –As the name suggests, inflammation in this type of Scleritis affects the posterior portion of the sclera. This can worsen and lead to other consequences for instance retinal detachment, folds of choroid, etc.

Ayurvedic Aspect

Eye disorders are grouped under the category of netraroga in ayurveda. Acharya Sushruta mentions 76 types of netraroga. One such netraroga is sirajala. This disease is known to exhibit very similar features as that of scleritis. In ayurveda, sirajala is known to affect the Shukla bhag i.e. the white part of the eye. The white part of the eye is covered with web-like reddish lines. Sirajalaisa results from dushti or abnormal levels of the rakta dosha in the body. The line of treatment will target the rakta dosha in the body. Sirajal is considered to be ashastrakritai.e. shastra or invasive treatments can not be done. That implies, sirajala needs to be treated through rakta pacifying herbal formulations. There arevarious ayurvedic formulations available to balance the vitiated rakta dosha and improve scleritis will be described as follows.


The cause of a disease will differ from patient to patient but the most common is described as follows

  • The most common cause estimated for the Scleritis is-


Other conditions observed to be associated with Scleritis can be

  • Sjogren’s syndrome
  • Scleroderma
  • Inflammatory bowel disease (IBD)
  • Joint swelling,
  • Connective tissue disease
  • Eye infection
  • Trauma can also be a causative factor for Scleritis among many cases seen.


The symptoms seen in Scleritis patient are

  • Pain in eye and nearby regions
  • Tenderness
  • Swelling in the white region of the eye (sclera)
  • Redness in the eye
  • Diminished or blur vision
  • Lacrimation
  • Scleritis can also present other difficulties such as-
  • Light sensitivity
  • Headache
  • Painful jaw
  • Facial ache


The scleritis can be diagnosed through clinical evaluation and slit lamp examination. Posterior scleritis is comparatively rare to anterior scleritis. Posterior scleritis requires advanced instruments to be diagnosed. In cases, doubtful of infectious scleritis, smears or biopsies may also be required. For better and confirmatory diagnosis-

  • CT scan (computed tomography)
  • MRI (magnetic resonance imaging), can also be done.


When the confirmatory diagnosis is done, immediate treatment is required. The management of scleritis will depend on the individual case as per the requirement. The general line of treatment includes-

  • Antibiotics
  • Corticosteroids
  • NSAIDs (non steroidal anti inflammatory drugs)
  • Immunosuppressive drugs, etc.
  • Surgery in severe cases or in case of failure of these drugs and steroids

But are there any other options available to avoid use of steroids and surgery? Ayurveda can deal with Scleritis, as described below.

Herbal Remedies for Scleritis by Planet Ayurveda

Planet Ayurveda provides very effective treatment for the management of Scleritis with Ayurveda medicines that are prepared by the company using authentic ways and natural herbs. The drugs prescribed in Scleritis are very effective in promoting the general eye condition of the patient and arresting the disease stage effectively. The medicines will also reduce the risk of further complications by reducing risk factors.

Planet Ayurveda has a group of patent medicines used for the management of Scleritis.  The detailed description of those medicines are as follows-


  1. Septrin Tablets
  2. Neem Capsules
  3. Amalaki Rasayan
  4. PanchatiktaGhrit Guggul
  5. Gandhak Rasayan
  6. Jasnoor Eye Drops


1. Septrin Tablets

Septrin tablets are manufactured from the natural extracts of various beneficial ayurvedic herbs such as Haridra (Curcuma longa), Guggul (Commiphora mukul), Tulsi (Ocimum sanctum), etc. These herbs allow the body to fight with infectious toxins and improve the quality of blood. It will also help to boost the immune system of the body that will help to recover better.

Dosage – Take two tablets twice daily.

2. Neem Capsules

Neem is a very helpful and famous herb in protecting the body from toxins and thus it will protect the eyes from a variety of infections agents. Thus these Neem capsules are prepared from the extracts of herb Neem (Azadirachta indica) that can be useful in the condition of Scleritis by balancing the pitta dosha.

Dosage – Take one capsule two times a day.

3. Amalaki Rasayan

Amla (Indian gooseberry) is a very beneficial herb for general health of the eyes along with all types of eye disorders. Amalaki rasayan is prepared by Planet Ayurveda through the standardized extracts of the Amla (Emblica officinalis). Amla helps to pacify the excessive Kapha dosha and Pittaj Dosha, hence managing Scleritis.

Dosage – Take one capsule two times a day.

4. PanchatiktaGhrit Guggul

Panchatikta Ghrita Guggulu is a patent tablet formation of Planet Ayurveda that is prepared using Bhallataka (Semecarpus anacardium), Goghrita (Cow’s ghee), etc. These herbs will surely purify the blood and will remove its impurities. It is very effective in improving eyesight and managing various eye related difficulties.

Dosage – Take two tablets two times a day.

5. Gandhak Rasayan

Gandhak Rasayan is effective in managing all the types of netraroga (eye diseases). Gandhak rasayan tablets are prepared using Shuddha Gandhak (Purified Sulphur). It has ushan virya and acts as a Rasayan for the human body meaning it rejuvenates the body. Thus, will also improve eye condition by removing Scleritis causative factors.

Dosage – Take two tablets two times a day.

6. Jasnoor Eye Drops

Jasnoor eye drops are especially prepared with natural herbs to help improve the eyesight and manage several eye disorders. It contains marvellous Ayurvedic herbs that will pacify vitiated tridosha and thus will improve vision and promote healthy eyes.

Dosage – Put three drops in each eye.



All the above information leads to a conclusion that Ayurvedic formulations prepared for Scleritis management are potent enough to recover the natural eyes health. We treat the patient naturally without any side effects. Thus, patients should surely visit us to stay healthy by obeying ayurvedic lifestyle and dietary tips given by our experienced doctors. For more related queries visit us at